|
Surgical Correction |
Filler |
Peelings,
medium to strong |
Laser |
|
|
|
|
|
| Indication |
Obstruction in function and
mobility |
Aesthetically annoying |
Aesthetically annoying |
Aesthetically annoying |
Contraindication, possible
side effects |
Possible, medium to strong
keloid disposition |
Possible allergies, granuloma,
connective tissue ailment
(collagenesis) |
Not suitable, possible additional
scars, loss of pigments,
light sensibility |
Keloid disposition, not suitable,
possible additional
scars, loss of pigments, light
sensibility |
| Procedure |
Surgical removal, usually
with local anaesthesia |
Intradermal injection |
Topical application of acid in
various concentrations, removal
of epidermis |
Removal of epidermis, intradermal
scar formation after
tissue necrosis |
| Time for treatment |
Depends on scar size |
Approximately 30 – 60 min. |
30 – 60 minutes |
Depends on scar size, a facial
treatment approximately 45 to
60 minutes |
| Expenditure for treatment |
Office or operating room |
Minimum to costly; short
lasting substances |
Minimum |
Office, expensive equipment |
|
Healing time
|
Weeks to months |
none |
Several weeks |
Several weeks |
| Social downtime |
Depends in size, from zero to
some days |
Depends on oedema, zero to
some days |
Several days or weeks |
Several days or weeks |
| Follow-up treatment |
Usually none, possibly 1 or 2
visits |
Depending on concentration,
after 4 to 6 months, and repeat… |
Sun protection, possible
additional medical treatments
for side effects |
Depends on laser type, with
fractionated laser several
treatments |
| Tissue conservation |
Medium, a new (possibly
smaller) scar is created |
Medium, hypodermic needles
set small scar |
None, acid is ablative |
None; laser heat is ablative |
| Visible improvement |
Possible, a smaller scar |
In the beginning medium to
good until filler is degraded
after some months |
Moderate to zero |
Uncertain to almost no improvement |
| Financial burden |
Medium, depends on size and
surgeon |
Very high, especially over
time |
Medium to high |
High |
Assessment for positive
improvement |
Medium to good |
Uncertain, only short time |
Uncertain (poor) |
Uncertain (poor) |
|
Dermabrasion |
Dermaroller®
Microneedling (CIT) |
Silicone Patches/Gel
Films/Scar Patches |
Scar Creams |
|
|
|
|
|
| Indication |
Aesthetically annoying |
Obstruction in function and
mobility, Aesthetically annoying |
Aesthetically annoying |
Aesthetically annoying |
Contraindication, possible
side effects |
Keloid disposition, not suitable,
possible additional scars, loss of
pigments, light sensibility |
None ever reported |
Possible allergy, bacterial
contamination underneath |
Possible allergy |
| Procedure |
Operation theatre, usually under
general anaesthesia |
Skin needling |
Placed on scars over months
and years |
Repeated creaming over
months and years |
| Time for treatment |
A facial treatment a bout 1 hr,
plus recovery time |
A facial treatment takes about
30 minutes |
Months and years |
|
| Expenditure for treatment |
High and expensive |
Short, erythema (redness) for
a few days, no pain |
Low-at home |
|
| Healing time |
Several weeks |
Short, erythema (redness) for
a few days, no pain |
|
|
|
Social downtime
|
Several days or weeks
|
None |
None |
None |
| Follow-up treatment |
Theoretically, but unlikely |
1 or 2 follow-up procedures,
with minimum separation of 8
– 10 weeks, or more, depends
on scar type |
|
|
|
Tissue conservation
|
None; ablative |
|
Normally, yes |
Normally, yes |
| Visible improvement |
Uncertain to almost no improvement |
Yes, improvements usually
over 50% and more |
Poor |
Poor |
| Financial burden |
High |
400 to 600 US$, or more per
treatment, depends on doctor
charges |
Minor |
Minor |
Assessment for positive
improvement |
Uncertain (poor) |
Good to very good |
Uncertain (poor) |
Uncertain (poor) |
Further treatment possibilities for hypertrophic scars and keloids
|
Glucocorticoid-Injection |
Pressure therapy |
Cryo-Therapy |
Radiation Therapy |
Systemic Therapy |
|
|
|
|
|
|
| Indication |
Keloids, hypertrophic scars |
Burn scars, hypertrophic
scars (keloids) |
Burn scars, hypertrophic
scars (keloids) |
Preventive radiation after
surgery by known keloid
disposition |
Keloid |
Contraindication, possible
side effects |
Atrophic scars |
Usually none, but often discomfort |
Cryoglobulinemia |
Pregnancy, children, and
gland regions |
Unknown |
| Procedure |
Injection |
Custom made compression
garment |
Liquid nitrogen |
Special X-ray unit |
Oral or intravenous |
| Time for treatment |
Few minutes |
Must be worn over months
and years |
Few minutes |
Minutes to seconds |
Minutes |
| Expenditure for treatment |
Minor |
Medium to high, specialised
staff is required |
Minor |
Expensive equipment, not
available everywhere |
Minor |
| Healing time |
Several weeks to see improvement |
Pressure reduces scar elevation,
but does not heal |
Several weeks |
unknown |
unknown |
| Social downtime |
None
|
None |
None |
Most likely no |
Most likely no |
| Follow-up treatment |
Several injections could be
required |
Garment is subject to wear
and tear, and as children grow
replacement needed |
Possibly several treatments |
Unknown, possibly yes |
Unknown |
| Tissue conservation |
Usually yes, but tissue gets
thinner |
Yes, but uncomfortable,
itching and sweating |
Ablative like laser and acid
peeling |
Tissue damage is possible |
Unknown |
| Visible improvement |
Is possible after some
weeks/months |
Possible in the beginning yes,
but scar recurrence is possible |
Depends on the individual
case, recurrence is possible |
Uncertain |
Unknown |
| Financial burden |
Minor to medium |
Quite expensive |
Minor |
Uncertain |
Very expensive, still in experimental
stage |
Assessment for positive
improvement |
Medium to good |
Medium |
Medium to good |
Uncertain |
Uncertain |
|
